Original title:
Focus Interview: Grassroots hospitals make efforts to protect the safety of children.
CCTV *** Focus Interview): Recently, there has been a significant increase in the number of people with colds, fevers, coughs and other symptoms in many places across the country, especially many children infected with respiratory diseases, which not only worries parents, but also increases the number of diagnosis and treatment services in many pediatric hospitals. Recently, the General Office of the National Health Commission issued a notice to guide primary medical and health institutions to do a good job in health services for respiratory diseases in winter and spring, and proposed to do everything possible to tap resources to carry out pediatric diagnosis and treatment services, and strengthen the support of general hospitals for primary medical and health institutions. In the past two days, this reporter visited some grassroots hospitals to visit the pediatric treatment there.
At 9:40 a.m., in the south branch of Shuangqiao Hospital in Chaoyang District, Beijing, the number of children and parents waiting at the door of the pediatric clinic began to increase.
Shuangqiao Hospital is a second-level general hospital in Beijing. In the past few years, it has been used as a designated hospital for the treatment of respiratory diseases, and the medical staff have accumulated rich experience in the treatment of respiratory diseases. Shuangqiao Hospital has a total of 27 clinical departments, and the pediatric department has been set up since the establishment of the hospital, and now there are 4 pediatricians to meet the basic medical needs of children around the hospital.
According to the hospital's monitoring data, in September this year, the average daily outpatient volume of the hospital's pediatric department was 74, and after entering October, the data curve has increased significantly.
Although the number of patients has increased by three or four times compared with daily life recently, the reporter saw here that even during the peak hours of children's treatment, the number of people waiting on the large screen at the door of the pediatric clinic has never exceeded 12, and the children and their parents have basically been triaged to two clinics within half an hour.
For a patient with respiratory diseases who comes to the hospital for the first time, it is roughly necessary to go through the following process: ** consultation, auxiliary examinations: blood collection, nasopharyngeal swab, taking a film (some patients), taking the examination results to find a doctor for follow-up diagnosis and **, a small number of people are infused or nebulized, and most people take medicine and leave the hospital.
In order to cope with the peak of respiratory disease visits this autumn and winter and reduce the length of stay of patients in the hospital, Shuangqiao Hospital has optimized the treatment process.
In the first link, the outpatient hall dynamically adjusts the number of manual ** windows, and from 8 am to 5 pm every day, there is no limit to the number of pediatrics, and you can go to the clinic to wait outside after registering.
Outside the clinic, the medical staff who are asking about the child's condition are the hospital's full-time physician assistants, who are specially set up for pediatric outpatient clinics.
Before your child's appointment, the doctor can get a basic picture of the child from the physician assistant. After the physical examination and preliminary judgment, the parents of the child can take the laboratory test items prescribed by the doctor and take the child for further examination. In this link, the hospital has also carried out dynamic optimization.
In order to reduce the time patients spend waiting for results, the number of hospital inspection and testing personnel is also dynamically adjusted according to demand.
In addition to optimizing the medical treatment process, in order to cope with the peak of the epidemic of respiratory diseases, many primary hospitals have increased the number of consultation places and opened weekend outpatient clinics. At present, Shuangqiao Hospital has implemented no holiday outpatient clinics in the north and south campuses, and the two campuses are equipped with the same inspection and testing items. Although the number of pediatric outpatient visits is running at a high level, parents have not felt much change in the patient experience.
At 12:30 p.m., two pediatricians from the South Campus of Shuangqiao Hospital have treated more than 110 children. Consultations continue.
Not long ago, Chaoyang District, Beijing, released a list of primary medical and health institutions that provide pediatric services in its jurisdiction on Health Chaoyang***. Since then, there has been a noticeable increase in consultations** from the Cuigezhuang Community Health Service Center.
Since 8 o'clock in the morning and his colleagues handed over the office**, Sun Li, deputy director of the Cuigezhuang Community Health Service Center, has not been very idle. The ** that calls these days, mostly for pediatrician consultations.
At the same time as the other party consulted, Sun Li also made a preliminary understanding and judgment of the child's situation.
These days, many children with mild symptoms come to the community health service center for treatment because of ** consultation. In order to cope with the peak of respiratory disease visits this winter, the Cuigezhuang Community Health Service Center began to optimize the treatment process and implement no holiday outpatient clinics for pediatrics as early as October. In order to allow early detection and early diagnosis and treatment of infected children in the community, medical staff also made full use of the family doctor contract system to answer questions and solve questions for surrounding residents in WeChat groups.
The residents and doctors in the WeChat group are familiar with each other, and usually residents have a headache and brain fever, so they will ask for medicine directly in the group, and the two sides have established a close relationship for a long time. In times like these, this close connection can play a huge role.
This winter, despite the superimposed epidemic of multiple respiratory diseases, no new pathogens have emerged. For doctors, these respiratory illnesses are a common condition that they have to deal with every autumn and winter. For the diagnosis of children with mild disease**, there is not much difference between going to a specialist hospital or staying in the community.
At present, there are three pediatricians and 20 general practitioners in the Cuigezhuang Community Health Service Center who have been trained in higher-level hospitals for Xi as a reserve force for follow-up pediatric diagnosis and treatment. From diagnosis and treatment to medication, the community health service center strives to create a one-stop service, so that people can see a doctor at their doorstep with peace of mind.
At present, China has entered the season of high incidence of respiratory diseases, especially in some areas in the north, and it is in the period of high incidence of influenza, and all places are actively responding.
In order to allow more children to be diagnosed and treated, the First Affiliated Hospital of Henan University of Traditional Chinese Medicine has taken a variety of countermeasures: all pediatricians in the hospital have been on duty, all 40 clinics have been opened, and night outpatient clinics have been added. In addition, in order to facilitate the masses to seek medical treatment in grassroots medical institutions, some general hospitals such as the First Affiliated Hospital of Henan University of Traditional Chinese Medicine have set up outpatient departments in some communities, and have stationed doctors here for a long time.
Recently, Ren Yumei, a pediatrician from the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, sat in the Zhengzhou Provence Community Hospital under the hospital.
Ren Yumei, deputy chief physician of the Department of Pediatrics of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine: "We have one or two specialists stationed here in the community outpatient clinic all year round, and at the same time, according to the high incidence season of respiratory infections this year, the hospital has sent five to six senior doctors, and basically two to three specialists and general practitioners are together every day to jointly maintain primary care. At present, the community has realized the diagnosis and treatment process synchronized with the hospital, and the tests we can do, such as basic blood routine, mycoplasma, influenza, including lung ultrasound imaging, can help us complete the initial diagnosis and treatment of common epidemics, infectious diseases, and respiratory diseases. ”
In response to the recent increase in the number of children with respiratory disease infections and long waiting times in some places, the national health department has sorted out the pediatric diagnosis and treatment services of medical institutions in all provinces, autonomous regions, municipalities directly under the Central Government and the Xinjiang Production and Construction Corps, and released it on Healthy China. If your child has symptoms of respiratory tract infection, parents can consult the nearest medical institution first.
*: CCTV.